Dr. Khuram,
There is certainly a lot going on with this young man.
I am not sure you need to use Flagyl, and likely could get by with just the Biocidin. Anyway to add in Nystatin?
The oxalates are a definite issue. It is very, very rare to see both the Glycolic and Glyceric Acids high. A low oxalate program is a must. I think I would use higher dosages of Biotin too since the Methylcitric is high – again, something not commonly seen. I would minimally use 5 grams daily.
Also, I would incorporate some Ubiquinol too – at least 200mg daily for additional mitochondrial support, although his mito issues are most likely linked to the oxalate problems.
I think the rest of your program looks pretty good overall
What is this boy’s digestive system like?
Also, feel getting back to a more restrictive diet is worthwhile.
Sincerely,
Dr. Woeller